ML Analysis — EASTERN IDAHO REGIONAL MEDICAL CENTE
CCN 130018 | Clustering + Distress + RCM Opportunity
🛡️ Public data only — no PHI permitted on this instance.
Investability Score
Hold / Selective — investigate specific opportunities but be prepared for execution risk.
58
/ 100 (C)
Financial Health19/25
RCM Upside5/25
Market Position15/20
Demand Defensibility12/15
Operational Efficiency7/15
Entry Multiple: 9.5x – 11.5x
Est. MOIC: 2.3x
Risk Factors:
Catalysts:
- Strong commercial payer base protects revenue
- Limited competition supports pricing power
Margin Prediction (Trained Ridge Model)
3.6%
R²=0.34 | n=4,907 | Grade B | Actual: 42.0%
Ridge regression trained on 4,907 HCRIS hospitals. 90% CI: [-24.7%, 31.9%]. P71 nationally.
| Driver | Value | Effect | Explanation | |
|---|---|---|---|---|
| Expense/Bed | 922569.485 | +0.0905 | Higher Expense/Bed increases predicted margin | |
| Reimbursement Quality | 0.098 | +0.0297 | Higher Reimbursement Quality increases predicted m | |
| Medicaid % | 0.310 | -0.0267 | Higher Medicaid % decreases predicted margin | |
| Log(Beds) | 5.451 | +0.0250 | Higher Log(Beds) increases predicted margin | |
| Net-to-Gross | 0.216 | -0.0171 | Lower Net-to-Gross decreases predicted margin |
Safety-Net/Medicaid Heavy
Archetype
50.5%
Distress Risk
$10.9M
RCM Opportunity
D
Opportunity Grade
44.9%
Projected Margin
Cluster: Safety-Net/Medicaid Heavy
Percentile within cluster: P88. High Medicaid dependence creates reimbursement risk. Assess DSH payments and state expansion status.
Nearest Peers
| Hospital | State | Beds |
|---|---|---|
| WESTERN PEAKS SPECIALTY HOSPITAL | UT | 59 |
| HOSPITAL MENONITA AIBONITO | PR | 129 |
| TOPPENISH COMMUNITY HOSPITAL | WA | 47 |
| MINERAL COMMUNITY HOSPITAL | MT | 25 |
| BANNER UNIVERSITY MED CENTER SOUTH | AZ | 132 |
| NORTH COLORADO MEDICAL CENTER | CO | 202 |
Distress Analysis
Risk: High
National distress rate: 49.3%
ID distress rate: 46.0%
Model AUC: 0.629
| Factor | Value | Contribution | Direction |
|---|---|---|---|
| Medicaid Day Pct | 0.310 | +0.221 | ▲ risk |
| Occupancy Rate | 0.633 | -0.100 | ▼ risk |
| Net To Gross Ratio | 0.216 | -0.068 | ▼ risk |
| Medicare Day Pct | 0.236 | -0.016 | ▼ risk |
| Beds | 233.000 | +0.011 | ▲ risk |
| Revenue Per Bed | 1590208.635 | -0.001 | ▼ risk |
RCM Improvement Opportunity
Total (risk-adjusted): $10.9M
Current margin: 42.0%
Projected margin: 44.9%
Grade: D
Comps: 1770
Gap analysis vs P75 peers with 60% closure assumption. Confidence-weighted by lever implementation difficulty.
| Lever | Current | Benchmark | Gap | Impact | Confidence | Timeline |
|---|---|---|---|---|---|---|
| Net-to-Gross Ratio Improvement | 0.216 | 0.342 | 12.6% | $5.5M | 65% | 18mo |
| Payer Mix Optimization | 0.455 | 0.753 | 29.8% | $4.5M | 50% | 24mo |
| Occupancy Improvement | 0.633 | 0.769 | 13.6% | $898K | 55% | 24mo |
Predicted RCM Performance (Public Data Only)
A
RCM Grade
Strong RCM profile — likely low-risk from an operations perspective. Focus diligence on growth thesis.
| Metric | Predicted | 90% CI | Percentile | Assessment |
|---|---|---|---|---|
| Denial Rate | 2.0% | [2.0%, 25.0%] | P0 | Strong — predicted denial rate is in the top third nationall |
| Days in AR | 25.0 | [25.0, 75.0] | P0 | Strong — predicted days in ar is in the top third nationally |
| Clean Claim Rate | 98.0% | [80.0%, 98.0%] | P0 | Strong — predicted clean claim rate is in the top third. |
| Net Collection Rate | 99.5% | [90.0%, 99.5%] | P8 | Strong — predicted net collection rate is in the top third. |